Provider Demographics
NPI:1225471071
Name:LEV-ARY, MORAN (MS, CFY-SLP, TSSLD)
Entity type:Individual
Prefix:MS
First Name:MORAN
Middle Name:
Last Name:LEV-ARY
Suffix:
Gender:F
Credentials:MS, CFY-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17201 COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3476
Mailing Address - Country:US
Mailing Address - Phone:917-655-1327
Mailing Address - Fax:
Practice Address - Street 1:17201 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3475
Practice Address - Country:US
Practice Address - Phone:917-655-1327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist